Case Study: 309.21 Separation Anxiety Disorder

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309.21 Separation Anxiety Disorder

V60.3 Problem related to living alone

V62.3 Academic or educational problem

V62.4 Social exclusion or rejection

V62.82 Uncomplicated bereavement

V71.01 Adult antisocial behavior

V71.02 Child or adolescent antisocial behavior

Justification of 309.21 - Separation Anxiety Disorder
Robbie is extremely afraid and anxious of separating from his father and displays at least three of the symptoms required under criterion A. Robbie has become more anxious of over the last 3-4 months (Criterion B) and has been sleeping with his father (Criterion A6). He complains about abdominal pain and has even thrown up at school (Criterion A8). Robbie continuously worries about losing his dad and something happening
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His refusal to leave his dad’s side can cause serious problems in his social functioning.

Justification of V71.02 - Child or adolescent antisocial behavior
Robbie seems to already display antisocial behavior. He is reserved and has trouble making friends. He misses school a lot, a place where he would meet new people and actually make friends due to his anxiety and fear of being away from dad. If this continues, he may have more prominent antisocial behaviors as an adolescent and further impairment in his social development and functioning.

Influenced by developmental, social, biological, cultural or cognitive issues?

Environmental: Separation anxiety disorder develops mostly after a life stress, like a loss. This loss could be the death of a loved one, parental divorce, moving, changing schools, illness, immigration, etc. In young adults, a life stress would be leaving their parent’s house, beginning a romantic and intimate relationship, and becoming a parent. Separation anxiety disorder can be the result of parental intrusiveness or

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